APPLICATION FOR MEMBERSHIP

Size: px
Start display at page:

Download "APPLICATION FOR MEMBERSHIP"

Transcription

1 DATE RECEIVED:..././. DATE ACCEPTED/REJECTED:././. CONFIRMATION SENT:././. APPLICATION FOR MEMBERSHIP PLEASE READ THESE EXPLANATORY NOTES CAREFULLY. EXPLANATORY NOTES (1) As a member of the South Australian Bar Association Inc (SABA), you undertake to practice exclusively as counsel (or if not seeking membership as a practising barrister, you undertake not to practice as a solicitor). (2) The categories of membership 1 for which application may be made are as follows: (a) Ordinary members (intended members holding a current South Australian Practising Certificate and intending to practice exclusively as counsel at the independent bar); (b) Bar Reader Members (a barrister who has agreed or agrees to become an ordinary member of SABA and is a Bar Reader); 1 A full description of the rights of each category of membership is set out in the SABA Constitution, which is available at the SABA website: (Applicant s Name). (Applicant s Signature)

2 2 (c) Interstate members (intended interstate members holding a current Interstate or Territory Practising Certificate and intending to practice exclusively as counsel at the independent bar and currently practising as counsel at the independent bar in one or more other Australian jurisdictions); (d) International members (refer SABA constitution article 5E) (e) Life members (refer SABA constitution article 8A) (f) Honorary members (refer SABA constitution article 9) (3) This is not an application to practice as a barrister. It is an application for membership of SABA and, except in the case of international members, to practice as a member of SABA. 2 (4) Admission to Ordinary Membership is subject to completion of the Bar Readers Course unless a full (Section E) or partial (Section F) exemption is granted by the Bar Council. (5) Applications for admission to Interstate Membership may be subject to completion of the Bar Readers Course or part thereof in the exercise of the discretion of the Bar Council. (6) You should inspect the Bar Readers Handbook 3 prior to completion of Sections D-F. The Handbook sets out the coursework and advocacy training which comprise the Bar Readers Course. Applicants for partial exemption (Section F) should identify specific seminars, tasks or activities that they seek to be exempted from by reference to the matters set out in the Handbook. (7) Please consider the category of membership you are applying for before completing and signing each page of this application form: Section A Application for membership - All categories; to be completed by ALL applicants 2 3 Every admitted practitioner holding a relevant Practising Certificate under the Legal Practitioners Act 1981 (SA) is entitled to practice (subject to any limitations imposed on his or her Practising Certificate) as a barrister, solicitor or both barrister and solicitor Available at the SABA website or upon attendance at the Chambers of the Secretary of the Membership Committee or at the office of the Secretariat of SABA.

3 3 Section B Section C Section D Section E Section F Section G Section H Applications for bar reader, ordinary and interstate membership and to sign the Bar Roll 4 ; SABA Group Disability Insurance Scheme - to be completed by applicants for Bar Reader, Ordinary and interstate membership; Application to undertake the Bar Readers Course; Application for full exemption from undertaking the Bar Readers Course; Application for a partial exemption from components of the Bar Readers Course; Declarations - to be completed by applicants for international membership; Declarations - to be completed by ALL applicants (8) Membership of SABA is at all times conditional upon payment, within 30 days of being invoiced by SABA, of (a) An annual subscription fee in an amount as may be determined from time to time in accordance with the SABA Constitution; and (b) In the case of members other than interstate members 5, international members, life members and honorary members a subscription fee in an amount as may be determined from time to time. (c) the proportion of premium due under the terms of the SABA Group Disability Insurance Scheme unless the intending member applies to opt out of the scheme when applying for membership. (9) This application MUST be completed in writing and delivered to The Secretary, Membership Committee, South Australian Bar Association Inc, GPO Box 2247, Adelaide SA 5001 or by electronic transmission to sabar@sabar.org.au. 4 5 The Bar Roll is not the Roll of Admitted Practitioners and the South Australian Bar Association Inc. is not an admitting authority within the meaning of the Legal Practitioners Act 1981 Interstate members are nevertheless eligible to pay the relevant premium and to join the SABA Group Disability Scheme.

4 (10) Membership/subscription fees (fees are inclusive of GST) are as follows: 6 4 Ordinary Members Silks $1, Barrister, being a Legal Practitioner of 5 or more years standing $ Barrister, being a Legal Practitioner of less than 5 years standing $ Bar Readers Members (in Reading Year) $ Interstate Members $ International Members A$ Life and Honorary Members (Gratis) (11) SABA Group Disability Insurance Scheme (Please check eligibility requirements at: (a) The SABA Group Disability Insurance Scheme is underwritten by Suncorp Insurance Ltd. It provides for the payment of a benefit on death or in the event of a member becoming totally and permanently disabled. The proportion of premium levied in respect of each member is calculated only by reference to the age and gender of the member. Cover is extended to eligible members irrespective of preexisting medical conditions and no medical examination is required. The Scheme provides a level of cover that may not be available to members on an individual basis (e.g. age ceilings and gainfully employed requirements apply). Premium contributions are significantly discounted to comparable insurance products available in the market on an individual basis. Full details of the scheme including the proportion of premium payable by reference to a member s age and gender are available on the SABA website. 6 These fees are current as at 31 December 2014.

5 5 (b) Barristers admitted to ordinary membership of SABA will thereupon be admitted to the SABA Group Disability Insurance Scheme and liable for payment of premium contribution unless the barrister gives notice in this application form to opt out (refer Section C of this application form). (c) The SABA Group Disability Insurance Scheme is subject to a minimum participation level and SABA reserves the right to refuse admission to ordinary membership in the case of a prospective member seeking to opt out of the scheme in the absence of reasons acceptable to the Bar Council. However persons aged 55 or more may opt out of the scheme at any time. (d) Barristers applying for interstate membership wishing to join the SABA Group Disability Insurance Scheme are required give notice of election to be included in the scheme when applying for membership of SABA (refer Section B). International members are not eligible to participate in the scheme if they are not an Australian citizen or do not hold an appropriate Australian visa. Applicants for life or honorary membership should consider whether they meet eligibility requirements and whether they wish to be considered for inclusion in the Scheme. (e) Being a group disability scheme, SABA is invoiced a single premium by the scheme underwriter each financial year. The scheme underwriter does not invoice individual members. SABA invoices each member for his or her proportion of premium payable under the Scheme by way of a levy when membership renewal falls due. (f) SABA is liable to penalties if the premium is not paid on time and therefore relies its members making timely payment when subscriptions fall due. (12) Subscripted SABA members will be liable to SABA for interest to be charged on annual subscriptions (and if applicable the SABA Group Disability Insurance Scheme levy) outstanding 30 days or more after they respectively fall due. Interest will be charged at the rate of 10% per annum on the amount outstanding from the due date.

6 6 (13) SABA members whose subscriptions (including any SABA Group Disability Insurance Scheme levy) have been outstanding for in excess of 60 days may be liable to being removed or suspended from membership of the Association unless special hardship is demonstrated to the reasonable satisfaction of the Bar Council. (14) Intending members (other than Interstate, international, life and honorary members) should secure a place in chambers or implement a formal source of professional support before commencing practice at the bar. PLEASE CONTACT THE SECRETARY OF THE MEMBERSHIP COMMITTEE SHOULD YOU REQUIRE FURTHER INFORMATION TO COMPLETE THIS APPLICATION. Issued by: Membership Committee CONTACT DETAILS Membership Inquiries: Secretary (MC): Ms Rose Marie Read C/- Angas Chambers Lower Level, 37 Angas Street ADELAIDE SA 5000 Phone: angaschambers@gmail.com Bar Readers' Course Inquiries: Course Coordinator: Ms Nicola Julius bre.assistant@sabar.org.au Applications: By post: By The Secretary, Membership Committee South Australian Bar Association Inc GPO Box 2247 ADELAIDE SA 5001 sabar@sabar.org.au

7 7 SECTION A: APPLICATION FOR MEMBERSHIP (ALL Applicants) Name & Contact Details *Full Name Current Address *Business Telephone Mobile Telephone Fax Admission and standing details *Date & Place first admitted as a legal practitioner Date admitted as a legal practitioner in South Australia (if applicable) [ ] Senior or Queen s Counsel (date of appointment: / / ) [ ] Legal Practitioner < 5 or less years standing [ ] Legal Practitioner > 5 or more years standing [ ] Bar Reader [ ] Retired Judicial Officer/Retired Barrister (delete as applicable) (date of retirement:.. /../ ) [ ] Other (details:.) Category of Membership sought (tick one): [ ] Ordinary member [ ] Bar Reader member [ ] Interstate membership (Home State/Territory:.) [ ] International member (Country:.) [ ] Life member [ ] Honorary member * [Automatic inclusion on website unless opt out]

8 8 Additional Information (Optional)... (If there is insufficient space on this Form, attach as annexure A any additional information) 1. I request that regard be had to the following referee(s): (1).. (2)..

9 9 SECTION B: APPLICATIONS FOR BAR READER, ORDINARY OR INTERSTATE MEMBERSHIP (AND, WHERE APPLICABLE, TO SIGN THE BAR ROLL). Important Notes (Refer SABA Constitution, Articles 3(c), 4(a), 5A & 5C) 1. Where an applicant is admitted to Bar Reader Membership he or she will be taken to have applied for Ordinary membership. A bar reader member will have ordinary membership conferred upon successful completion of the Bar Readers Course, and only then will be entitled to sign the Bar Roll. 2. Where an applicant is admitted to interstate membership subject to a requirement to complete all or a part of the Bar Readers Course, that member will only be entitled to sign the Bar Roll upon successful completion of that requirement. *(Intended) Address for Practice at Bar. (Intended) Date of Commencement at Bar * [Automatic inclusion on website unless opt out]

10 10 Declarations 1. Do you hold a current unrestricted South Australian Practising Certificate? (if yes, please attach a copy) 2. Do you hold a current unrestricted Interstate or Territory Practising Certificate (if yes, please attach a copy and specify State/Territory..) 3. Have you read, understood and do you undertake to be bound by the Barristers Conduct Rules as amended from time to time? 4. If accepted as a member of SABA do you undertake to practice exclusively as counsel? 5. Do you agree to advise SABA in writing within 30 days in the event of your ceasing to practice exclusively as Counsel? 6. Have you ever been struck off or suspended from the roll of practitioners admitted to practice in any jurisdiction in Australia? If yes, please give details: 7. Do you agree to advise SABA within 7 days if you are either struck off or suspended from the role of practitioners admitted to practice in any jurisdiction in Australia?

11 8. Is there present limitation on your right to practice the law in this State, Interstate or within the Commonwealth of Australia (other 11 than identified under the Practising Certificate Details above)? If yes, please give details: 9. Are you an undischarged bankrupt or subject of a Part IX debt or Part X personal insolvency agreement? If yes, please give details: 10. Do you agree to advise SABA within 7 days if you become an undischarged bankrupt or subject of a Part IX debt or Part X personal insolvency agreement? 11. Are you presently subject to any professional disciplinary action or proceedings, or aware of any reason to suspect that any professional disciplinary action or proceedings might be taken against you? If yes, please give details:

12 12. Do you agree to advise SABA immediately upon becoming aware of any professional disciplinary action or proceedings being taken 12 against you? 13. Are you aware of any reason for imposing any limitation upon your right to practice law in this State, Interstate or within the Commonwealth of Australia? 14. Do you undertake that, by becoming and remaining a member of SABA, you are agree to become and remain a member of the Australian Bar Association (if not already a member) and that you shall thereby be subject to the constitution of the Australian Bar Association (Article 5(c)(iv))? 15. Do you undertake that if you cease to be a member of SABA you shall thereby cease to be a member of the Australian Bar Association (if you are not otherwise a member of the Australian Bar Association) (Article 5(c)(v))?

13 13 SECTION C: SABA GROUP DISABILITY INSURANCE SCHEME (Australian Residents or visa holders only - (specific eligibility requirements detailed at: *Gender: Male Female (circle as appropriate) *Date of Birth: /../ (*This information is required for determining the proportion of premium payable under the SABA Group Disability Insurance Scheme for a member) I wish to opt out of the SABA Group Disability Insurance Scheme If yes, please give reasons (if insufficient space attach as annexure C1 ): (Note: SABA reserves the right to refuse admission to ordinary membership in the case of a prospective member seeking to opt out of the scheme in the absence of reasons acceptable to the Bar Council.) Applications for Interstate (and Life or Honorary) membership only: I wish to participate in the SABA Group Disability Insurance Scheme? I am already covered under an equivalent Bar Association Group Disability Insurance Scheme in my home State/Territory? If yes, please give details (if insufficient space attach as annexure C2 ):.

14 14 Declarations relating to Section C 1. Do you acknowledge that your membership of SABA may be cancelled or suspended in the event of your failure to pay within 60 days of being invoiced, any premium contribution due pursuant to the SABA Group Disability Insurance Scheme (unless you have made prior arrangements in writing for payment on terms acceptable to SABA)? 2. Do you acknowledge that in addition to the cancellation or suspension of your membership of the Association, SABA may recover the unpaid premium from you as a debt together with interest at the rate of 10% per annum on any of your contribution to the premium due under the SABA Group Disability Insurance Scheme as may be outstanding more than 30 days?

15 SECTION D: APPLICATION TO UNDERTAKE THE BAR READERS COURSE (ordinary membership, bar reader membership, and interstate membership only) 15 EXPLANATORY NOTES: (1) This section must be completed by the above membership applicants unless an application for a full exemption is being made (Refer Section E). (2) Acceptance to undertake the Bar Readers Course is at the absolute discretion of the SABA Bar Council. (3) Applicants are not entitled to receive reasons for acceptance or rejection of this Application. (4) Acceptance to the Bar Readers Course does not constitute any promise of a position in the Chambers of the Mentor or at the Independent Bar. (5) Vacancies in Chambers at the Independent Bar arise on an ad hoc basis, not necessarily regularly. Any application to become a member of Chambers must be directed to the head of the relevant Chambers. Acceptance as a member of a particular Chambers is a competitive process and is not guaranteed no matter the experience, qualities or abilities of the applicant. (6) SABA does not warrant that an applicant that successfully completes the Bar Readers Course will succeed in practice at the Independent Bar as this is a competitive process and is not guaranteed no matter the experience, qualities or abilities of the applicant Prior legal experience (Complete all where applicable - If there is insufficient space, attach as annexure D1 ) Barrister..years from to Solicitor years from to Judge s Associate... years from to Law Lecturer.. years from to Police Prosecutor... years from to Other legal work (specify nature). years from to Selection of a Mentor

16 16 To assist the selection of a suitable Mentor, attach as annexure D2 the areas of practice in which you are interested and the Chambers or members of Chambers that or whom may be suitable. Declaration 1. Have you had the opportunity to inspect the Bar Readers Handbook prior to completion of this Application and are you aware of the coursework required to complete the Bar Readers Course? 2. If accepted into the course, do you agree to pay the Course fee 7 as may be determined by the Council of SABA on the basis that it will be refundable: As to 100% in the event that you withdraw from the Course more than 28 days prior to its commencement; As to 90% in the event that you withdraw from the Course less than 28 days prior to its commencement; 3. but that no amount will be refundable (except in the absolute discretion of the Bar Council) if you withdraw after commencement of the Course? 4. Will you make yourself available to undertake the work required for the satisfactory completion of the Course (or agreed part thereof where any partial exemption is sought and approved)? 7 Which was last fixed at $6, including GST for Of this sum, $2, is the Course fee and $3, was the Essential Trial Advocacy Fee.

17 5. Do you agree to use your best endeavours to complete the Course in the year of commencement and do you acknowledge that this may include completion of the Essential Trial Advocacy Course interstate, the travel component of which is not within the 17 prescribed Course fee and will be at your own expense? 6. Do you acknowledge that if you do not complete the Course within the Year of commencement, your ability to complete the Course, including whether to recommence the Course, or the components of the Course to be completed or repeated, will be at the absolute discretion of the Membership Committee of SABA, but subject to review by the Bar Council of SABA?

18 18 SECTION E: FULL EXEMPTION IN EXCEPTIONAL CIRCUMSTANCES (Applications for ordinary or interstate membership, only) EXPLANATORY NOTES (1) Except in the case of applicants for interstate membership who have successfully completed an equivalent bar readers course in their State or Territory of origin, or have long standing and widely recognised advocacy credentials in such place, acceptance of an application for exemption from undertaking the Bar Readers Course will only be granted in exceptional circumstances. (2) Exemption from the requirement to complete the Bar Readers Course is, notwithstanding the above, at the absolute discretion of the Membership Committee of SABA, but subject to review by the Bar Council of SABA. (3) Applicants are not entitled to reasons for acceptance or rejection of applications for exemption. (4) An exemption will only be granted before 31 May prior to the commencement of the Bar Readers Course in each year. Application I apply for an exemption from undertaking the WHOLE of the Bar Readers Course The GROUNDS upon which I seek exemption are as follows: (If there is insufficient space on this Form, attach as annexure E your additional response) In support of this application for exemption, I request that regard be had to the following reference(s)/referee(s) (1) (2)

19 SECTION F: PARTIAL EXEMPTION IN EXCEPTIONAL CIRCUMSTANCES (Applications for bar reader, ordinary or interstate membership, only) 19 EXPLANATORY NOTES (1) Except in the case of applicants for interstate membership who have successfully completed an equivalent bar readers course in their State or Territory of origin, or have long standing and widely recognised advocacy credentials in such place, acceptance of an application for exemption from undertaking any component of the Bar Readers Course will only be granted in exceptional circumstances. (2) Exemption from the requirement to complete the Bar Readers Course is, notwithstanding the above, at the absolute discretion of the Membership Committee of SABA, but subject to review by the Bar Council of SABA. (3) Applicants are not entitled to reasons for acceptance or rejection of applications for exemption. (4) An exemption will only be granted before 31 May prior to the commencement of the Bar Readers Course in each year. Application I apply for an exemption from undertaking specific component(s) of the Bar Readers Course The SPECIFIC EXEMPTIONS that I seek and the GROUNDS upon which I seek such exemptions are as follows: (set out the component(s) for which you are seeking exemption and the grounds on which you seek exemption in respect of each such component with reference to the course handbook and any appendices re syllabus and sessions conducted)...

20 If there is insufficient space on this Form, attach as annexure F your additional response) In support of this application for exemption, I request that regard be had to the following referee(s) (1) (2)

21 SECTION G: FURTHER DECLARATIONS (International members only) Do you hold a relevant certification to practice law in any country outside Australia? If yes please attach copy of such certification or any other relevant documentation and give relevant details including any details demonstrating that you are practising exclusively as independent counsel (or international equivalent) (If there is insufficient space on this Form, attach as annexure G your additional response): 2. Do you hold a current Practising Certificate for any jurisdiction within Australia? (if yes, please attach a copy) If yes please provide details: Do you undertake not to practice law in any jurisdiction in Australia so long as you remain an international member of SABA except as is lawfully permitted by the Commonwealth of Australia, a relevant State or Territory and upon notice to SABA of the permission? 4. Do you undertake to practice exclusively as counsel in your local jurisdiction so long as you remain a member of SABA? 5. Do you agree to advise SABA in writing within 30 days in the event of your ceasing to practice exclusively as Counsel?

22 6. Have you ever been struck off or suspended from the practice of law in any jurisdiction in Australia or in any jurisdiction in which 22 you have practiced Law outside Australia? If yes, please give details: 7. Do you agree to advise SABA within 7 days if you are either struck off or suspended from the practice of law in any jurisdiction in any jurisdiction in which you have practised within Australia or outside Australia? 8. Is there any present limitation on your right to practice law in this State, Interstate or within the Commonwealth of Australia (other than identified under the Practising Certificate Details above)? If yes, please give details: 9. Are you presently subject to any professional disciplinary action or proceedings, or aware of any reason to suspect that any professional disciplinary action or proceedings might be taken against you? If yes, please give details: 10. Do you agreed to advise SABA immediately upon becoming aware of any professional disciplinary action or proceedings being taken against you?

23 SECTION H: FURTHER DECLARATIONS (ALL Applicants) Have you read and understood, and do you agree to be bound by the Constitution of SABA as amended from time to time? 2. Do you undertake to abide by the rulings of SABA made in accordance with the SABA Constitution? 3. Do you hereby authorise and consent to SABA, by any office bearer of SABA duly authorised by the Membership Committee, to make such enquiries, for the purpose of this application or as may be reasonably indicated from time to time during the currency of your membership, of any professional association of which you are currently a member or were formerly a member, regarding your standing and reputation as a member or former member of such association? 4. Do you acknowledge that in the event of your failure to pay your SABA subscription fees within 60 days of being invoiced, your membership of SABA may be cancelled or suspended, and SABA may recover the unpaid fees from you as a debt together with interest at the rate of 10% per annum on any outstanding subscription fees (unless you have made prior arrangements in writing for payment on terms acceptable to SABA)? 5. To the best of my knowledge and belief I have answered all applicable parts of this Application truthfully.

24 24 DATED Signed by.... The Applicant Witnessed by Name Address Updated: 10/03/2017

RIGHTS TO CONDUCT LITIGATION AND RIGHTS OF AUDIENCE CERTIFICATION RULES

RIGHTS TO CONDUCT LITIGATION AND RIGHTS OF AUDIENCE CERTIFICATION RULES RIGHTS TO CONDUCT LITIGATION AND RIGHTS OF AUDIENCE CERTIFICATION RULES Copy with entity rules 23 Feb 2011 CONTENTS Certification Rules..3 Appendix 1 Knowledge and experience guidelines 31 Appendix 2 portfolio

More information

Professional Indemnity Insurance Application Form for Eligible Midwives

Professional Indemnity Insurance Application Form for Eligible Midwives Professional Indemnity Insurance Application Form for Eligible Midwives This Form will be used by MIGA to consider your application for Professional Indemnity Insurance with MIGA and for your automatic

More information

APPLICATION FOR ADMISSION AS FELLOW

APPLICATION FOR ADMISSION AS FELLOW APPLICATION FOR ADMISSION AS FELLOW 1. Personal Details (please type or print in block letters) Title: Mr/Mrs/Miss/Ms... Family Name Given Names Firm/Company Name Business Address.... State. Postcode...

More information

APPLICATION FOR ACCREDITATION OR RE-ACCREDITATION AS A MEDIATOR

APPLICATION FOR ACCREDITATION OR RE-ACCREDITATION AS A MEDIATOR Current as at 1 July 2015 Office use only Date approved Approved by Payment date ABN 78 009 717 739 APPLICATION FOR ACCREDITATION OR RE-ACCREDITATION AS A MEDIATOR Before completing this form you need

More information

Adelaide Cash Management Trust Authorised Operator Form

Adelaide Cash Management Trust Authorised Operator Form Adelaide Cash Management Trust Authorised Operator Form This Authorised Operator Form can be used to appoint change or delete authorised operator access. Adelaide Cash Management Trust (Trust) accounts

More information

D I V I D E N D R E I N V E S T M E N T PLAN

D I V I D E N D R E I N V E S T M E N T PLAN ABN 37 008 670 102 D I V I D E N D R E I N V E S T M E N T PLAN AMENDED AS AT 29.04.2014 C O N T E N T S Page Highlights and Summary of the Plan 1 Terms and Conditions of the Plan 3 Application Form Notice

More information

Enduring Power of Attorney

Enduring Power of Attorney Complete this form by writing your responses on the lines. Clauses with options are to be completed by placing a tick in the appropriate box and ruling through those options that do not apply. These margin

More information

Classic Life Insurance

Classic Life Insurance 1 St Andrew s Classic Life Insurance Product Disclosure Statement including policy terms Issued by: St Andrew s Life Insurance Pty Ltd ABN 98 105 176 243 5 July 2017 The Insurer Classic Life Insurance

More information

Dividend Reinvestment Plan Rules

Dividend Reinvestment Plan Rules Dividend Reinvestment Plan Rules Duxton Water Limited - Dividend Reinvestment Plan Shareholders have the ability to reinvest all or part of a Dividend payable on their Shares, by applying for additional

More information

Enduring Power of Attorney

Enduring Power of Attorney Complete this form by writing your responses on the lines. Clauses with options are to be completed by placing a tick in the appropriate box and ruling through those options that do not apply. These margin

More information

OMIP: Application for Membership & Authorisation (Licence) to act as an Insolvency Practitioner [2019]

OMIP: Application for Membership & Authorisation (Licence) to act as an Insolvency Practitioner [2019] This form of ten pages when completed should be returned to the IPA Licensing Team, Insolvency Practitioners Association, Valiant House, Heneage Lane, London EC3A 5DQ OMIP: Application for Membership &

More information

Home Loans Terms & Conditions

Home Loans Terms & Conditions Home Loans Terms & Conditions Effective from 30 September 2017 Important Information This booklet contains the Terms and Conditions of our Home Loans. The Contract for the Loan is made up of the relevant

More information

o Part 3 Your Experience and Qualifications

o Part 3 Your Experience and Qualifications This form of six pages when completed should be returned to the IPA Membership Officer, Nikki Haggis, Insolvency Practitioners Association, Valiant House, Heneage Lane, London EC3A 5DQ AM1: Application

More information

Superannuation Trust Deed. Establishing the. «Fund_Name» «Deed_of_Establishment_Date_App_Receiv»

Superannuation Trust Deed. Establishing the. «Fund_Name» «Deed_of_Establishment_Date_App_Receiv» Superannuation Trust Deed Establishing the «Fund_Name» «Deed_of_Establishment_Date_App_Receiv» PERPETUAL SUPERANNUATION LIMITED ("TRUSTEE") PERPETUAL SUPERANNUATION LIMITED (ABN 84 008 416 831) Business

More information

Ricegrowers Limited Dividend Reinvestment Plan

Ricegrowers Limited Dividend Reinvestment Plan GFL.10237 Dear Shareholder Ricegrowers Limited Dividend Reinvestment Plan The Board of Ricegrowers Limited is pleased to invite you to participate in the Ricegrowers Limited Dividend Reinvestment Plan.

More information

APIAM ANIMAL HEALTH LIMITED. Dividend Reinvestment Plan ACN August 2017

APIAM ANIMAL HEALTH LIMITED. Dividend Reinvestment Plan ACN August 2017 APIAM ANIMAL HEALTH LIMITED ACN 604 961 024 Dividend Reinvestment Plan 25 August 2017 E: enquiries@apiam.com.au P: 03 5445 5999 F: 03 5445 5914 27-33 Piper Lane Bendigo Victoria 3550 PO Box 2388 Bendigo

More information

APPLICATION TO BECOME AN APPROVED TRAVEL BROKER

APPLICATION TO BECOME AN APPROVED TRAVEL BROKER Form AS1 APPLICATION TO BECOME AN APPROVED TRAVEL BROKER T RAVEL AGENT S ASSOC IATI ON OF NEW ZEALAND Level 3 Tourism & Travel House 79 Boulcott Street PO Box 1888 WELLINGTON 6140 DX SX10033 For your record

More information

Sending a copy of your Power of Attorney to MLC

Sending a copy of your Power of Attorney to MLC Sending a copy of your Power of Attorney to MLC MLC Super and Investments You should read this before you send us your Power of Attorney About POAs A Power of Attorney (POA) is a legal document that entitles

More information

RUGBY LEAGUE ACCREDITED PLAYER AGENT SCHEME RULES

RUGBY LEAGUE ACCREDITED PLAYER AGENT SCHEME RULES RUGBY LEAGUE ACCREDITED PLAYER AGENT SCHEME RULES RUGBY LEAGUE ACCREDITED PLAYER AGENT SCHEME INDEX 1. Objects... 2 2. Independence of the Accreditation Committee... 3 3. Amendments... 4 4. Definitions...

More information

Psychologists Proposal Form Combined professional indemnity, public and products liability insurance

Psychologists Proposal Form Combined professional indemnity, public and products liability insurance Page 1 of 5 Proposal Form Combined professional indemnity, public and products liability insurance Please complete and return this proposal form via post, email or fax using the contact details on page

More information

Account Application, CHESS Sponsorship Agreement. and. Terms & Conditions

Account Application, CHESS Sponsorship Agreement. and. Terms & Conditions Account Application, CHESS Sponsorship Agreement and Terms & Conditions ABN 50 001 430 342 AFS Licence No. 241737 Participant of ASX Group Address: Suite 404, 161 Walker Street, North Sydney NSW 2060 Phone:

More information

ANZ SMART CHOICE SUPER FOR EMPLOYERS AND THEIR EMPLOYEES ONEPATH LIFE LIMITED WATPAC SUPERANNUATION PLAN

ANZ SMART CHOICE SUPER FOR EMPLOYERS AND THEIR EMPLOYEES ONEPATH LIFE LIMITED WATPAC SUPERANNUATION PLAN ANZ SMART CHOICE SUPER FOR EMPLOYERS AND THEIR EMPLOYEES ONEPATH LIFE LIMITED WATPAC SUPERANNUATION PLAN INSURANCE GUIDE ISSUED 17 MARCH 2018 DEATH AND TOTAL AND PERMANENT DISABLEMENT COVER INCOME PROTECTION

More information

Practitioner Indemnity Insurance Policy Application Form

Practitioner Indemnity Insurance Policy Application Form Practitioner Indemnity Insurance Policy Application Form Avant Mutual Group Limited ABN 58 123 154 898 Membership with Avant Mutual Group Limited ABN 58 123 154 898 Practitioner Indemnity Insurance with

More information

Application for Enrolment Form (ISP)

Application for Enrolment Form (ISP) Australian Institute of Family Counselling Application for Enrolment Form (ISP) Note: Information contained in this document is utilised in accordance with aifc Privacy Policy 1. Personal Details (Please

More information

BAR MUTUAL INDEMNITY FUND LTD. RULES (2017 Edition)

BAR MUTUAL INDEMNITY FUND LTD. RULES (2017 Edition) BAR MUTUAL INDEMNITY FUND LTD RULES (2017 Edition) RULE NUMBERS AND HEADINGS Rule Number Heading Page 1. Membership of Bar Mutual 3 2. Professional Indemnity Insurance 4 3. Contributions 5 4. Provision

More information

ANZ Smart Choice Super

ANZ Smart Choice Super ANZ Smart Choice Super MetLife Insurance Limited Legg Mason Superannuation Plan INSURANCE GUIDE FOR EMPLOYERS AND THEIR EMPLOYEES 25 MAY 2015 Death and Total and Permanent Disablement Cover ANZ Smart Choice

More information

ABORIGINAL MBA SCHOLARSHIP

ABORIGINAL MBA SCHOLARSHIP ABORIGINAL MBA SCHOLARSHIP unisabusinessschool.edu.au/aboriginal-mba-scholarship Artist: Rikurani APPLICATION FORM 100% of MBA tuition fees covered^ The UniSA is committed to advancing leadership diversity,

More information

FAIRVIEW SCHOOLS BERHAD (43809-K) STUDENT APPLICATION FORM AND CONTRACT

FAIRVIEW SCHOOLS BERHAD (43809-K) STUDENT APPLICATION FORM AND CONTRACT FAIRVIEW SCHOOLS BERHAD (43809-K) STUDENT APPLICATION FORM AND CONTRACT KINDLY SUBMIT THE FOLLOWING WITH THE APPLICATION FORM: 1. Two passport-sized photographs of the student 2. Student s Birth Certificate

More information

Title: Mr / Mrs / Ms / Miss. First Name: Surname: GENDER: M/F D.O.B.: / / AGE: years

Title: Mr / Mrs / Ms / Miss. First Name: Surname: GENDER: M/F D.O.B.: / / AGE: years MEMBERSHIP FORM New Member- Renewing Member 1. MEMBER DETAILS Title: Mr / Mrs / Ms / Miss Date: / / First Name: Surname: GENDER: M/F D.O.B.: / / AGE: years Address: Suburb: Post Code: Phone: (H) (Mob)

More information

Please complete these instructions in BLACK INK using CAPITAL LETTERS (except for your address) and 3 boxes where provided.

Please complete these instructions in BLACK INK using CAPITAL LETTERS (except for your  address) and 3 boxes where provided. Staff Superannuation Plan a sub-plan of IOOF Employer Super 1 July 2015 Withdrawal Form This form serves as your instruction to us on how to deal with your benefit. We recommend that you consult your licensed

More information

Subscription for a Share and Membership Application for the. The Winston Golf Club Ltd. (the Club ) Applicant Information

Subscription for a Share and Membership Application for the. The Winston Golf Club Ltd. (the Club ) Applicant Information Subscription for a Share and Membership Application for the The Winston Golf Club Ltd. (the Club ) Applicant Information Title (Mr., Mrs. Ms. Dr.) Date of Birth Last Name, First Name, and Middle Initial

More information

optional income protection insurance

optional income protection insurance guide to optional income protection insurance Guide to Optional Income Protection Insurance DuluxGroup Employees Superannuation Fund The DuluxGroup Employees Superannuation Fund (DuluxGroup Super) is managed

More information

Date of Birth / / Home Telephone Number

Date of Birth / / Home Telephone Number Hunter United Pension Fund Application Form When you have completed this form, please return to: Administrator, Hunter United Pension Fund, 130 Lambton Road, Broadmeadow NSW 2292 or fax to: 02 49562357.

More information

CONSTITUTION COMMONWEALTH BANK OF AUSTRALIA

CONSTITUTION COMMONWEALTH BANK OF AUSTRALIA CONSTITUTION OF COMMONWEALTH BANK OF AUSTRALIA A.C.N. 123 123 124 Incorporating amendments up to and including all amendments passed at the Annual General Meeting on 26 October 2000 Corporations Law Company

More information

AGENCY APPLICATION (INDIVIDUAL)

AGENCY APPLICATION (INDIVIDUAL) AGENCY APPLICATION (INDIVIDUAL) To: Agency Department Date: AIG Asia Pacific Insurance Pte. Ltd. AIG Building 78 Shenton Way #07-16 Singapore 079120 From: Full Name as per NRIC/passport: Agency Name (if

More information

Payment instruction form

Payment instruction form Payment instruction form Please complete and sign this form to provide your payment instructions. Mail the completed form to: Plum Super, Reply Paid 63, Melbourne Vic 8060. If you need assistance in completing

More information

For personal use only

For personal use only Japara Healthcare Limited PO Box 16082, Collins Street West VIC 8007 Q1 Building Level 4, 1 Southbank Boulevard, Southbank VIC 3006 Telephone 03 9649 2100 Facsimile 03 9649 2129 www.japarahealthcare.com.au

More information

Business Credit Account Application

Business Credit Account Application Business Credit Account Application The convenient way to streamline your business An Australia Post credit account can help you do business everyday. For instance, you can charge: Letter & parcel services

More information

Private Certification of 3401(c) Employee Status. Before completing this form, please review the information below carefully.

Private Certification of 3401(c) Employee Status. Before completing this form, please review the information below carefully. NOTICE: Private Certification of 3401(d) Employer Status. Private Certification of 3401(c) Employee Status. Before completing this form, please review the information below carefully. Section 1 Instructions

More information

Chapter - RETURNS. 1. Form and manner of furnishing details of outward supplies

Chapter - RETURNS. 1. Form and manner of furnishing details of outward supplies Chapter - RETURNS 1. Form and manner of furnishing details of outward supplies (1) Every registered person (other than a person referred to in section 14 of the Integrated Goods and Services Tax Act, 2017)

More information

Mrs Male Female Yes No. Holder of a Work Permit or Visa : National insurance number : Yes No. & website

Mrs Male Female Yes No. Holder of a Work Permit or Visa : National insurance number : Yes No.  & website Please complete this form answering all questions to the best of your ability. Ensure that you sign and date all sections where this is requested. Failure to comply with these instructions could lead to

More information

General Power of Attorney

General Power of Attorney Complete this form by writing your responses on the lines. Clauses with options are to be completed by placing a tick in the appropriate box and ruling through those options that do not apply. These margin

More information

Special Admission to Membership

Special Admission to Membership Application for Special Admission to Membership (under By-Law 12) (Reg CR1) Please fill in your Membership Number, if known (please use a BLACK pen Please complete ALL the sections (1 13) below, and return

More information

PROGRAMMED MAINTENANCE SERVICES LIMITED ABN: DIVIDEND REINVESTMENT PLAN BOOKLET SUMMARY OF MAIN FEATURES & DRP RULES

PROGRAMMED MAINTENANCE SERVICES LIMITED ABN: DIVIDEND REINVESTMENT PLAN BOOKLET SUMMARY OF MAIN FEATURES & DRP RULES PROGRAMMED MAINTENANCE SERVICES LIMITED ABN: 61 054 742 264 DIVIDEND REINVESTMENT PLAN BOOKLET SUMMARY OF MAIN FEATURES & DRP RULES Amended: 25 May 2016 1 Dear Shareholder This booklet contains a copy

More information

IPAS Limited INSOLVENCY PRACTITIONERS ASSOCIATION OF SINGAPORE LIMITED APPLICATION FOR ADMISSION AS FELLOW / ASSOCIATE 1. I, (FULL NAME) of (ADDRESS)

IPAS Limited INSOLVENCY PRACTITIONERS ASSOCIATION OF SINGAPORE LIMITED APPLICATION FOR ADMISSION AS FELLOW / ASSOCIATE 1. I, (FULL NAME) of (ADDRESS) IPAS Limited RECENT PASSPORT SIZE PHOTOGRAPH INSOLVENCY PRACTITIONERS ASSOCIATION OF SINGAPORE LIMITED APPLICATION FOR ADMISSION AS FELLOW / ASSOCIATE 1. I, (FULL NAME) hereby apply to be admitted as a

More information

Sample Strategist SMSF. Sample Copy. Strategist SMSF Trust Deed & Rules. Prepared for: Reckon Docs

Sample Strategist SMSF. Sample Copy. Strategist SMSF Trust Deed & Rules. Prepared for: Reckon Docs Sample Strategist SMSF Strategist SMSF Trust Deed & s Prepared for: Reckon Docs Sample Strategist SMSF Strategist SMSF Trust Deed & s Prepared by: A Living Super Deed Copyright 2014-2017 Reckon Docs Pty

More information

Please complete the relevant business identifier that is applicable to your business: ABN (if any) ACN Registration number

Please complete the relevant business identifier that is applicable to your business: ABN (if any) ACN Registration number business savings application. Email: businessorigination@mebank.com.au or fax: (03) 9708 3680 Mail: ME Business Account Services, Reply Paid 1345, Melbourne VIC 8060 Any questions? Call ME on 1300 658

More information

Special Admission to Membership

Special Admission to Membership Application for Special Admission to Membership (under By-Law 12) (Reg CR1) Please fill in your Membership Number, if known (please use a BLACK pen) Please complete ALL the sections (1 13) below, and return

More information

Substantially full time experience is defined in the Guidance as an average of 800 hours a year.

Substantially full time experience is defined in the Guidance as an average of 800 hours a year. This form of five pages when completed should be sent to Nikki Haggis, Insolvency Practitioners Association, Valiant House, Heneage Lane, London EC3A 5DQ IM(O)1: Application for Ordinary Membership for

More information

For personal use only

For personal use only 12 February 2015 The Manager Market Announcements Office Australian Securities Exchange 4 th Floor, 20 Bridge Street SYDNEY NSW 2000 Office of the Company Secretary Level 41 242 Exhibition Street MELBOURNE

More information

NURSES, CARE ASSISTANTS, SUPPORT WORKERS. City/Town:

NURSES, CARE ASSISTANTS, SUPPORT WORKERS. City/Town: Title: Middle Name: Maiden Name: Date of birth: House Name/Number: County: Home Phone: Qualification: NMC PIN NO. PERSONAL DETAILS First Name: Last Name: Known as: Marital Status: City/Town: Work Phone:

More information

SUBSCRIPTION AGREEMENT

SUBSCRIPTION AGREEMENT SUBSCRIPTION AGREEMENT REGAL EMERGING COMPANIES FUND II This Subscription Agreement relates to an Information Memorandum dated 22 February 2018 ( IM ) issued by Regal Funds Management Pty Limited ABN 30

More information

Chartered Accountants Australia and New Zealand Application for a Certificate of Public Practice by a New Zealand resident member

Chartered Accountants Australia and New Zealand Application for a Certificate of Public Practice by a New Zealand resident member Chartered Accountants Australia and New Zealand Application for a Certificate of Public Practice by a New Zealand resident member Please fill in your Membership Number, if known Please complete ALL sections

More information

Bank of Nevis VISA GOLD OR CLASSIC CARD APPLICATION CUSTOMER CARD INFORMATION MIDDLE NAME : SURNAME :

Bank of Nevis VISA GOLD OR CLASSIC CARD APPLICATION CUSTOMER CARD INFORMATION MIDDLE NAME : SURNAME : Bank of Nevis VISA GOLD OR CLASSIC CARD APPLICATION CUSTOMER CARD INFORMATION NEW CHANGE 1. PRINCIPAL APPLICANT (TELL US ABOUT YOURSELF) FIRST NAME: Mr. Mrs. Ms. MIDDLE NAME : SURNAME : MAILING ADDRESS

More information

DIVIDEND REINVESTMENT PLAN INFORMATION BOOKLET

DIVIDEND REINVESTMENT PLAN INFORMATION BOOKLET ABN 30 167 689 821 DIVIDEND REINVESTMENT PLAN INFORMATION BOOKLET This booklet explains the Barrack St Investments Limited (or Company ) Dividend Reinvestment Plan ("Dividend Plan"). The Dividend Plan

More information

CREDIT INSURE TPD/TTD CLAIM FORM

CREDIT INSURE TPD/TTD CLAIM FORM Please tick [ ] in the appropriate box. An extract of some of the Benefits which will not be payable, namely : (a) Pre-existing condition (see item 2.12 ON Illness of the Certificate). (b) for first 30

More information

Application Form REINSW Agency/Branch Membership

Application Form REINSW Agency/Branch Membership Application Form REINSW Agency/Branch Membership REINSW APPLICANT INFORMATION CATEGORIES OF MEMBERSHIP AGENCY includes a sole trader, partnership, association, corporation, incorporated or unincorporated

More information

Potential Construction Defect Claim Site: 100 Eton Road, Lindfield "Dunstan Grove"

Potential Construction Defect Claim Site: 100 Eton Road, Lindfield Dunstan Grove 3 April 2017 Partner: David Andrews Direct Line: 9233 9023 Direct Facsimile: 9233 9123 Email: dandrews@makdap.com.au Our Ref: DA: BEL: 170658 BY EMAIL: raymond.reg@stratplus.com.au The Secretary The Owners

More information

PERSONAL DIVISION PRODUCT DISCLOSURE STATEMENT

PERSONAL DIVISION PRODUCT DISCLOSURE STATEMENT PERSONAL DIVISION PRODUCT DISCLOSURE STATEMENT Date: Issued 27January 2015 Things you should know: This Product Disclosure Statement ( PDS ) is a summary of significant information and contains a number

More information

APPLICATION FORM THE TPI AUSTRALIAN SHARE FUND

APPLICATION FORM THE TPI AUSTRALIAN SHARE FUND ASSET MANAGEMENT APPLICATION FORM THE TPI AUSTRALIAN SHARE FUND This Application Form accompanies the Information Memorandum for the TPI Australian Share Fund. Trumper Park Investments Pty Limited (ACN

More information

Suncorp Funeral Insurance. Product Disclosure Statement and Policy Document

Suncorp Funeral Insurance. Product Disclosure Statement and Policy Document Suncorp Funeral Insurance Product Disclosure Statement and Policy Document Prepared on: 19 September 2014 Effective date: 20 October 2014 Contents 1.0 Important information 5 2.0 Who can apply? 6 3.0 Your

More information

Specialist Accreditation Program

Specialist Accreditation Program Specialist Accreditation Program SMSF Specialist Auditor - Rules and Conditions 11 September 2015 Version 1.1 dated 11 September 2015 Table of Contents Section 1: Why Become a SMSF Association Accredited

More information

ANZ SMART CHOICE SUPER FOR EMPLOYERS AND THEIR EMPLOYEES HANNOVER LIFE RE OF AUSTRALASIA LTD STIHL PTY LTD SUPERANNUATION PLAN

ANZ SMART CHOICE SUPER FOR EMPLOYERS AND THEIR EMPLOYEES HANNOVER LIFE RE OF AUSTRALASIA LTD STIHL PTY LTD SUPERANNUATION PLAN ANZ SMART CHOICE SUPER FOR EMPLOYERS AND THEIR EMPLOYEES HANNOVER LIFE RE OF AUSTRALASIA LTD STIHL PTY LTD SUPERANNUATION PLAN INSURANCE GUIDE ISSUED 17 MARCH 2018 DEATH AND TOTAL AND PERMANENT DISABLEMENT

More information

SUNCORP GROUP HOLDINGS (NZ) LIMITED SUNCORP GROUP LIMITED CRS NOMINEES LIMITED TRUST DEED CONSTITUTING THE EXEMPT EMPLOYEE SHARE PLAN

SUNCORP GROUP HOLDINGS (NZ) LIMITED SUNCORP GROUP LIMITED CRS NOMINEES LIMITED TRUST DEED CONSTITUTING THE EXEMPT EMPLOYEE SHARE PLAN SUNCORP GROUP HOLDINGS (NZ) LIMITED SUNCORP GROUP LIMITED CRS NOMINEES LIMITED TRUST DEED CONSTITUTING THE EXEMPT EMPLOYEE SHARE PLAN CONTENTS PARTIES... 1 INTRODUCTION... 1 COVENANTS... 1 1. INTERPRETATION...

More information

Please forward your completed claim form to: FAX: (08)

Please forward your completed claim form to: FAX: (08) PLEASE USE BLOCK LETTERS WHILE COMPLETING THIS FORM CLAIMS HOTLINE: 1800 640 009 or call direct: (08) 8235 6455 Please forward your completed claim form to: Echelon Claims Services GPO Box 1693 Adelaide

More information

Application Forms Cover Page

Application Forms Cover Page Application Forms Cover Page Please complete this page & attach all relevant forms Ascend self managed super Please Note: If any of the Application Forms are incomplete or contain errors, or you do not

More information

Application for an RBF Life Pension

Application for an RBF Life Pension Pension RBF Contributory Scheme Application for an RBF Life Pension About this form Complete this form to start an RBF Life Pension in the RBF Contributory Scheme. Members of the Tasmanian Accumulation

More information

CUSTOMER CONTRACT. Introduction. Contract Terms. Dear Customer

CUSTOMER CONTRACT. Introduction. Contract Terms. Dear Customer Origin Energy Electricity Limited ABN 33 07 052 287 CUSTOMER CONTRACT Introduction Dear Customer This customer contract is important. Please read it carefully and indicate whether you accept the terms

More information

Bank of Baroda Singapore Branch

Bank of Baroda Singapore Branch Bank of Baroda Singapore Branch ACCOUNT OPENING FORM FOR INDIVIDUALS/ JOINT ACCOUNT HOLDERS Name(s) of Customer (s): For Bank use only Account No. Customer ID: Date of Opening: Date: D D M M Y Y Y Y To:Bank

More information

THE MALAYSIAN INSTITUTE OF CHARTERED SECRETARIES AND ADMINISTRATORS

THE MALAYSIAN INSTITUTE OF CHARTERED SECRETARIES AND ADMINISTRATORS THE MALAYSIAN INSTITUTE OF CHARTERED SECRETARIES AND ADMINISTRATORS MAICSA PRACTISING CERTIFICATE SCHEME AND REGULATIONS A. INTRODUCTION MAICSA recognises the need to provide a Practising Certificate Scheme

More information

CPA AUSTRALIA APPLICATION TO TRADE WITH A NON-MEMBER / APPLICATION FOR AN AUTHORITY TO TRADE AS CERTIFIED PRACTISING ACCOUNTANTS INTRODUCTION

CPA AUSTRALIA APPLICATION TO TRADE WITH A NON-MEMBER / APPLICATION FOR AN AUTHORITY TO TRADE AS CERTIFIED PRACTISING ACCOUNTANTS INTRODUCTION CPA AUSTRALIA APPLICATION TO TRADE WITH A NON-MEMBER / APPLICATION FOR AN AUTHORITY TO TRADE AS CERTIFIED PRACTISING ACCOUNTANTS INTRODUCTION PLEASE READ THESE INSTRUCTIONS CAREFULLY This is an interactive

More information

Medibank pays not more than 25% of the MBS fee for that service; Medicare pays 75% of the MBS fee; and

Medibank pays not more than 25% of the MBS fee for that service; Medicare pays 75% of the MBS fee; and Terms and Conditions of using the Medibank GapCover scheme 1. Effective Date. These Terms and Conditions are effective from 1 May 2017 and apply to all claims submitted, and to all persons submitting accounts,

More information

Stockbroking COMPANY ACCOUNT application form

Stockbroking COMPANY ACCOUNT application form Stockbroking COMPANY ACCOUNT application form Please only use this form to open a trading account: in a Company Name In order to process your application we will need: your completed application form a

More information

CHAPTER 308A EXEMPT INSURANCE

CHAPTER 308A EXEMPT INSURANCE 1 L.R.O. 1998 Exempt Insurance CAP. 308A CHAPTER 308A EXEMPT INSURANCE ARRANGEMENT OF SECTIONS SECTION PART I Preliminary 1. Short title. 2. Interpretation. 3. Exempt insurance business. PART II Licensing

More information

Dividend Reinvestment Plan Documentation

Dividend Reinvestment Plan Documentation Dividend Reinvestment Plan Documentation ASX RELEASE 14 July 2009 In PIPE Networks Limited s (ASX:PWK) ASX announcement of 25 June 2009 it was advised that the Directors of the company had resolved to

More information

Dominion Superannuation Master Trust

Dominion Superannuation Master Trust Dominion Superannuation Master Trust Product Disclosure Statement Part 2 of 2 parts Group Insurance Issued 20 August 2012 This product is issued by: Oasis Fund Management Limited ABN 38 106 045 050 AFSL

More information

General Power of Attorney

General Power of Attorney Complete this form by writing your responses on the lines. Clauses with options are to be completed by placing a tick in the appropriate box and ruling through those options that do not apply. These margin

More information

Professional Standards Scheme (formerly Limitation of Liability Scheme) Guide

Professional Standards Scheme (formerly Limitation of Liability Scheme) Guide Professional Standards Scheme (formerly Limitation of Liability Scheme) Guide lawsocietywa.asn.au Contents Introduction 2 What is a Professional Standards Scheme? 3 Where can I obtain a copy of the Law

More information

STANDING APPLICATION FORM

STANDING APPLICATION FORM STANDING APPLICATION FORM Section 1. Investor details (complete parts A and B) Responsible Entity - Legg Mason Asset Management Australia Limited (ABN 76 004 835 849, AFSL 240827) ( Legg Mason ) Please

More information

Personal Loans Terms & Conditions

Personal Loans Terms & Conditions Personal Loans Terms & Conditions Effective from 30 September 2015 Important Information This booklet contains the Terms and Conditions of our Personal Loans. The Contract for the Loan is made up of these

More information

*Town/Suburb *State *Postcode. *Town/Suburb *State *Postcode

*Town/Suburb *State *Postcode. *Town/Suburb *State *Postcode Bendigo SmartStart Withdrawal Form This form can be used for the following products: -Bendigo SmartStart Super -Bendigo SmartStart Pension This form should be used to make a lump sum (cash) withdrawal

More information

ICC INTERNATIONAL CHAMBER OF COMMERCE ARBITRATION RULES

ICC INTERNATIONAL CHAMBER OF COMMERCE ARBITRATION RULES APPENDIX 3.7 ICC INTERNATIONAL CHAMBER OF COMMERCE ARBITRATION RULES (as from 1 January 2012) Introductory Provisions Article 1 International Court of Arbitration 1. The International Court of Arbitration

More information

TERMS AND CONDITIONS FOR HANG SENG FX AND PRECIOUS METAL MARGIN TRADING SERVICES / HANG SENG ADVANCED FX AND PRECIOUS METAL MARGIN TRADING SERVICES

TERMS AND CONDITIONS FOR HANG SENG FX AND PRECIOUS METAL MARGIN TRADING SERVICES / HANG SENG ADVANCED FX AND PRECIOUS METAL MARGIN TRADING SERVICES TERMS AND CONDITIONS FOR HANG SENG FX AND PRECIOUS METAL MARGIN TRADING SERVICES / HANG SENG ADVANCED FX AND PRECIOUS METAL MARGIN TRADING SERVICES MASTER AGREEMENT Note: These Terms and Conditions should

More information

Company Number Charity Number

Company Number Charity Number Company Number 1218334 Charity Number 290927 MEMORANDUM AND ARTICLES OF ASSOCIATION of ASSOCIATION FOR PROJECT MANAGEMENT ADOPTED BY SPECIAL RESOLUTION ON 25 SEPTEMBER 2006 CONTENTS Memorandum of Association

More information

Application to become a Lloyd s Open Market Correspondent

Application to become a Lloyd s Open Market Correspondent Application to become a Lloyd s Open Market Correspondent Please read the following notes carefully before filling in this form. 1. A separate application form must be completed for each firm that wishes

More information

CLUB REWARDS CARD. Membership. has its OWN Rewards JOIN NOW. Enjoy exclusive offers and rewards at any of our licensed venues.

CLUB REWARDS CARD. Membership. has its OWN Rewards JOIN NOW. Enjoy exclusive offers and rewards at any of our licensed venues. CLUB REWARDS CARD Membership has its OWN Rewards JOIN NOW Enjoy exclusive offers and rewards at any of our licensed venues. CLUB REWARDS MEMBERSHIP APPLICATION Mr Mrs Ms Miss Other First Name* Middle Name

More information

MLC Super Fund. Payment instruction form

MLC Super Fund. Payment instruction form MLC Super Fund Payment instruction form National Australia Bank Group Superannuation Fund A (Plan) Need Help? Contact us on 1300 55 7586 between 8am and 7pm AEST (8pm daylight savings time), Monday to

More information

Apply for a super payout

Apply for a super payout ANZ Australian Staff Superannuation Scheme Apply for a super payout Step 1 Check that you re eligible You wish to receive part or all of your super payout in cash A portion of your super benefit may be

More information

Application for Accreditation by Testing

Application for Accreditation by Testing Application for Accreditation by Testing A FORM Please use a blue or black pen to complete this form. Please print in BLOCK LETTERS. NAATI Number: (if known) Part 1 Is this your first application to NAATI?

More information

Austock Dividend Reinvestment Plan

Austock Dividend Reinvestment Plan Austock Dividend Reinvestment Plan Contents Table of contents 1 Definitions and interpretation 2 2 Eligibility to participate 5 3 Application to participate and extent of participation 7 4 Minimum Participating

More information

Insurance variation form

Insurance variation form July 2017 Insurance variation form Please use BLOCK LETTERS and black ink. Complete this form to notify us of a change to your financial adviser or to start or amend an adviser service fee arrangement.

More information

GUARANTEED ANNUITIES LIFESTREAM GUARANTEED INCOME. POLICY DOCUMENT Issue date: 12 June 2017 For new investors from: 12 June 2017

GUARANTEED ANNUITIES LIFESTREAM GUARANTEED INCOME. POLICY DOCUMENT Issue date: 12 June 2017 For new investors from: 12 June 2017 GUARANTEED ANNUITIES LIFESTREAM GUARANTEED INCOME POLICY DOCUMENT Issue date: 12 June 2017 For new investors from: 12 June 2017 Contents 1. Definitions and interpretation 3 1.1 Definitions 3 2. Your Policy

More information

Australian Securities Exchange Notice

Australian Securities Exchange Notice Australian Securities Exchange Notice 27 February 2018 ILUKA RESOURCES DIVIDEND REINVESTMENT PLAN INTRODUCED Iluka Resources Ltd (Iluka) has introduced a new Dividend Reinvestment Plan ("the new Plan"),

More information

Margin Lending Application

Margin Lending Application Margin Lending Application Suncorp Metway Limited ABN 66 010 831 722. AFSL 229882. If you have any questions please contact your Account Manager on 1800 805 972. Application Checklist Tick ( ) when complete

More information

Employer Sponsored Product

Employer Sponsored Product Employer Sponsored Product Product Disclosure Statement Date Prepared: 1 July 2017 Contents Section 1: About Enterprise Plan Employer Sponsored Product... 2 Section 2: How Super works... 2 Section 3: Benefits

More information

International Student Offer Acceptance form

International Student Offer Acceptance form International Student Offer Acceptance form Representative/agent stamp IF APPLICABLE Read these instructions carefully before you complete the acceptance form. This acceptance, together with your letter

More information

Form 7-C2016 Merchant Application/Agreement

Form 7-C2016 Merchant Application/Agreement ICE Futures Canada, Inc. Application Instructions for Merchants Enclosed is an Application/Agreement and related documents which must be completed by an entity seeking to become registered as a Merchant.

More information

Cash Deposit Fund Application form. Dated 1 July 2017

Cash Deposit Fund Application form. Dated 1 July 2017 Cash Deposit Fund Application form Dated 1 July 2017 AET Cash Deposit Fund ARSN 093 367 518 Australian Executor Trustees Limited ABN 84 007 869 794 AFSL 240023 AET Cash Deposit Fund Application form Dated:

More information

ICE Futures U.S., Inc. MEMBERSHIP RULES

ICE Futures U.S., Inc. MEMBERSHIP RULES ICE Futures U.S., Inc. MEMBERSHIP RULES Rule TABLE OF CONTENTS Subject 2.01 Qualifications 2.02 IFUS Membership 2.03 Application 2.04 Notice of Application 2.05 Review of Application 2.06 Election to IFUS

More information

Suburb State Postcode Mailing address (if different from above) Suburb State Postcode

Suburb State Postcode Mailing address (if different from above) Suburb State Postcode Medical & Associated Professions Superannuation Fund Before you sign this application form, the Trustee or AMA Financial Services is obliged to give you a PDS, which is a summary of important information.

More information